Describes the philosophy of treatment developed at Brookside Young People's Unit, a second- or third-tier treatment unit for disturbed adolescents. Working as a team, staying with the problem, attending to staff concern, and providing total patient care are discussed. (Author/NB)

Adaptive Behavior Scale (ABS) ratings by one rater completing the scale were compared with composite ratings by a group of raters, each of whom completed only a portion were compared for 40 retarded persons (ages 10-56). Composite ratings tended to be significantly higher than individual ratings. (Author/DB)

Results of evaluating effects of fenfluramine on 21 maladaptive behaviors in 20 autistic individuals (from 9 to 30 years old) over a 9-month period using a double-blind, cross-over, placebo-controlled design indicated no significant reductions in maladaptive behaviors and the presence of negative side effects. (Author/DB)

Nurses (N=227) were surveyed regarding attitudes, perceptions, and knowledge about the uses of psychotropic drugs. In general, greater age, male sex, status, and higher qualifications tended to covary and were associated with perception of greater involvement by senior nurses in drug-related decisions for institutionalized retarded persons.…

Behavioral effects of intra-institutional relocation of mentally retarded adults were evaluated over a 12-month period. Clients grouped together on the basis of relatively high levels of aggressive or destructive behavior exhibited an increase in social isolation following relocation. Overall, relocation effects were subtle and individualized in…

Direct care staff were taught via picture programs to transfer nonambulatory, severely mentally retarded men between their beds and wheelchairs. The still color photographs illustrated procedures and the addition of study guide questions increased the program's effectiveness. (Author/DB)

Analyzed health care use in four years prior to death for 4,256 elderly decedents. Found hospital bed use by nursing home residents declined with age and was much lower than for decedents in community. Institutionalized elders were much less likely to die in hospitals than were community elders, particularly very old and longer-term patients.…

Examined difficulty of obtaining valid informed consent from participants in research with older persons. Of 470 nursing home residents asked to participate in nonrisk study, 406 agreed. High consent rate was attributed to perception of research significance, presentation format, and absence of risk or pain. (Author/NB)

Interviewed 28 relatives of nursing home residents about their involvement in care of elderly relatives and perceptions of care provided by nursing home staff. Relatives attributed responsibility for most tasks to nursing home staff; held themselves responsible for some tasks, such as monitoring and evaluating quality of care, and teaching staff…

Interviewed 198 nursing home residents and 34 primary nurse caregivers regarding perceptions and preferences of resident participation in health care decisions. Approximately 40 percent of residents reported being told nothing about their medical conditions; another 40 percent reported being told everything. Concordance between residents' and…

Administrative staff (N=49) of not-for-profit nursing homes identified 103 autonomy-enhancing programs for mentally impaired. Programs were encompassed within six categories: special resident programming, structural and environmental adaptations, staff training, family programming, staff deployment, and ethics initiatives. (Author/NB)

Statistical and legal analysis of California nursing home admission agreements indicated that agreements limited autonomy of nursing home residents in important ways, including constraints on resident's right to make health care decisions and other basic personal choices, entitlement to due process or grievance procedures, and right to informed…

Observations of direct-care staff behavior were made for 20 days at various locations in a large state-operated residential facility serving the developmentally disabled. Results demonstrated that five 15-minute weekday observations could provide reliable representative information concerning staff activities. (Author/DB)

Used modified differential reinforcement of other behavior schedule with exclusionary time-out procedure to treat 69-year-old aggressive male patient. Results showed clear demonstration of behavioral control and clinically significant treatment effects during experimental periods. (Author/NB)

Reviews the application of social learning approaches to helping delinquents change in institutions. Incarceration is not effective in changing delinquent behavior, and may even foster it through exposure and influence of delinquent peer models. (Author/LHW)